Grace Brigid McKendry

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

275 Mount Carmel Ave
Hamden, CT 06518-1961

Phone

(203) 582-8200

NPI assigned

Oct 31, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1881359321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 COURTHOUSE RD",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102913",
            "telephone_number": "516-492-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MOUNT CARMEL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181961",
            "telephone_number": "203-582-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENDRY",
        "first_name": "GRACE",
        "middle_name": "BRIGID",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Thomas McGovern, MSW, LCSW
• Briana Marie McGovern, M.S., CCC-SLP
• Kevin F McGovern, DMD
• Karen McGowan-Cottle, APRN FNP-BC
• Nicholas Tyler McInnis, PHARMD
• Michael P McKenna, DPT
• Alexandra Shayne McKnight, LMSW
• Kym McKoy
• Marie-Therese McNamara, LCSW
• Tucker McNeely

• Athletic Trainer in Hamden, CT
• Providers in Hamden, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.